FDA Adverse Event Malfunction Summary report: N

POSEY BED

MDR report key: 3181750 · Received June 6, 2013

Report

Report Number
2020362-2013-00258
Event Type
Malfunction
Date Received
June 6, 2013
Report Date
May 16, 2013
Manufacturer
J. T. POSEY CO.
Product Code
OYS
PMA / PMN Number
K103817
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

RESULTS: EVALUATION OF THE RETURNED PRODUCT CONFIRMED THAT THE PULL TAB IS MISSING ON THE END RAIL OF THE FOOT PANEL. HOWEVER, THERE IS A BROKEN SLIDER ON THE PATIENT ACCESS OF THE LEFT PANEL. NOTE: INSTRUCTIONS FOR USE STATE: NEVER USE THE BED IF A ZIPPER SLIDER IS BENT OPEN OR DAMAGED AND THE ZIPPER CANNOT BE ZIPPED COMPLETELY CLOSED. REMOVE THE PATIENT FROM THE DAMAGED BED AND EXCHANGE IT FOR A BED IN GOOD WORKING CONDITION. NEVER USE THE BED IF THE ZIPPER PULL-TAB IS MISSING OR BROKEN. (B)(4).

Description of Event or Problem · 1

CUSTOMER REPORTED THE PULL TAB LOCATED ON THE PANEL IS MISSING. CUSTOMER DID NOT PROVIDE A DATE WHEN DISCOVERED. NO PATIENT INCIDENT OR INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
251828 POSEY BED OYS J. T. POSEY CO. 8070 NA

Patients

Seq Age Sex Outcome Treatment
1 UNK